Provider Demographics
NPI:1083902381
Name:CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN
Entity Type:Organization
Organization Name:CARDINAL MCCLOSKEY SCHOOL AND HOME FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMLESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-997-8000
Mailing Address - Street 1:115 E STEVENS AVE STE LL5
Mailing Address - Street 2:
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1286
Mailing Address - Country:US
Mailing Address - Phone:914-997-8000
Mailing Address - Fax:914-997-2166
Practice Address - Street 1:30 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2907
Practice Address - Country:US
Practice Address - Phone:914-997-8000
Practice Address - Fax:914-997-2166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities